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Abstract
Background Worldwide, Egypt is among the first four countries suffering from obesity. waist circumference [WC] is a component used to define metabolic syndrome[MS]. The role of WC as an independent predictor of silent myocardial ischemia [SMI], above its contribution to metabolic syndrome, remains unknown in Egyptian obese patients hence we aimed to detect SMI in such patients. Conclusion Obese Egyptian patients with WC >80cm in women and {u2265}94 cm in men are independently associated with an increased prevalence of SMI